Organization
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
Active
Parent organization
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
Authorized official
DIANA M BEDNAR (OPERATIONS MANAGER)
(952) 224-9771
Entity
Organization
Contact information
Practice address
1714 COPE AVE E, MAPLEWOOD, MN 55109-2664
(651) 770-0055
(952) 224-9790
Mailing address
6600 FRANCE AVE S, SUITE 415, EDINA, MN 55435-1805
(651) 770-0055
(952) 224-9790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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